NPIMap

Organization Active NPI

Ma and Bierman Dental Partnership

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1720536857
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
62967 Issued in CA
Legal business name
MA AND BIERMAN DENTAL PARTNERSHIP
Practice address
315 Walnut Ave
San Diego, CA 92103-4904
Phone
(619) 297-2954
NPI assigned
Sep 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thomas Frank Bierman, DDS
Title
Partner Dentist
Phone
(703) 975-0257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 62967 CA Primary

Addresses

Primary practice location

315 Walnut Ave
San Diego, CA 92103-4904

Mailing address

315 Walnut Ave
San Diego, CA 92103-4904
Phone (619) 297-2954

National Provider Directory

National Provider Directory

Locations

315 Walnut Ave
San Diego, CA 92103
Phone (619) 297-2954

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1720536857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WALNUT AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034904",
            "telephone_number": "619-297-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WALNUT AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921034904",
            "telephone_number": "619-297-2954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MA AND BIERMAN DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "BIERMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PARTNER DENTIST",
        "authorized_official_telephone_number": "703-975-0257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.